STROKE

Body structure & Activity &

Functional Dimension Participation
Problems Dimension Problems

IMPAIRMENTS: Reduced capacity to perform Daily

function:
Hemiplegia,
Spasticity, Aphasia Dressing, bathing, walking

VICIOUS CYCLE
MEDICAL Decreased Activity & Greater Exercise *REHABILITATION
THERAPY Intolerance

Decreased cardiorespiratory fitness, muscle

atrophy, osteoporosis, and impaired
circulation to lower extremities

Thrombus formation, Decubitus ulcer or

both
 *REHABILITATION **

MAJOR GOALS FOR 1) Prevent

REHABILITATION FOR Complications of
STOKE PATIENTS Prolonged inactivity
1) Prevent complications of
prolonged inactivity
2) Decreasing recurrent Inpatient: Discharge:
strokes and CVS events
1) Proper positioning of patient 1) Continuum of exercise
3) Increasing aerobic fitness
in bed therapy/remedial gait training w/
2) Orthostatic/Gravitational supervised home-based walking
stress / Intermittent standing 2) Intensive gait something with
during hospital convalescence body weight partially supported
when walking on a treadmill
3) Robotic therapy

Decreasing recurrent AEROBIC DECONDITIONING PROGRAM

strokes and CVS events
Enhance glucose requisition and, promote
+ decrease in body weight & fat stores, Blood
pressure, CRP, and levels of total Cholesterol,
Increasing aerobic
Triglycerides, LDL
fitness
 **PRE-EXERCISE EVALUATION
Complete medical history
Complete physical examination
Graded exercise testing w/ ECG monitoring

EXERCISE PRESCRIPTION
Minimize potential adverse effects of exercise
Appropriate screening, program design, monitoring &
patient education